Phase 2
Completed N=148
Investigating Safety, Tolerability and Efficacy of AZD5363 When Combined With Paclitaxel in Breast Cancer Patients
Advanced or Metastatic Breast Cancer · ER+ve Advanced or Metastatic Breast Cancer
Source: ClinicalTrials.gov NCT01625286 ↗
Enrolled (actual)
148
Serious AEs
21.8%
Results posted
Apr 2019
Primary outcomePrimary: Dose-limiting Toxicity (DLT) Events - Part A — 0; 2; 0; 0 participants
Summary
The purpose of this study is to investigate the safety and efficacy of different doses and schedules of AZD5363, when in combination with paclitaxel, in treatment of patients with advanced or metastatic breast cancer. Also to investigate a selected dose and schedule of AZD5363 in combination with paclitaxel vs. paclitaxel in combination with placebo in treatment of patients with estrogen receptor-positive advanced or metastatic breast cancer, including a subgroup who have the phosphoinositide-3-kinase, catalytic, alpha polypeptide (PIK3CA) tumour mutation.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Dose-limiting Toxicity (DLT) Events - Part A |
0; 2; 0; 0; 2 | — |
| PRIMARY Progression Free Survival (PFS) - Part B |
10.9; 8.4 | 0.308 |
| SECONDARY Change in Tumour Size at 12 Weeks |
-11.0; -15.7; -19.1; -18.3; -10.2; -34.2 | 0.081 |
| SECONDARY Objective Response Rate (ORR) at Week 12 |
41.7; 12.5; 0; 0; 0; 50 | — |
| SECONDARY Best Objective Response (BOR) |
0; 0; 0; 0; 0; 3 | — |
| SECONDARY Overall Objective Response Rate |
0; 25; 20; 14.3; 0; 59.3 | — |
| SECONDARY Number of Subjects Without Progression Disease at Week 12 - Part A |
6; 5; 3; 4; 2 | — |
| SECONDARY Duration of Response (DOR) - Part B |
8.3; 8.2 | — |
| SECONDARY Durable Response Rate (DRR) - Part B |
48.1; 37.5 | 0.139 |
| SECONDARY Overall Survival - Part B |
32.8; NA | 0.482 |
Eligibility Criteria
Inclusion Criteria
- Provision of informed consent.
- Female patient.
- Aged at least 18 years.
- Histological or cytological confirmation of breast cancer with evidence of advanced or metastatic disease (must be ER+ve, HER2-ve, in Part B).
- World Health Organisation (WHO) performance status 0-1 with no deterioration over the previous 2 weeks and minimum life expectancy of 12 weeks.
Exclusion Criteria
- Clinically significant abnormalities of glucose metabolism.
- Spinal cord compression or brain metastases unless asymptomatic, treated and stable (not requiring steroids).
- Evidence of severe or uncontrolled systemic diseases, including active bleeding diatheses or active infections including hepatitis B, C and HIV.
- Any prior exposure to agents which inhibit AKT as the primary pharmacological activity.
- Part A: more than two prior courses of chemotherapy (including taxanes) for advanced or metastatic breast cancer.
Part B: any prior chemotherapy for advanced or metastatic breast cancer.
Data sourced from ClinicalTrials.gov (NCT01625286). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.